Organization Active NPI

Renalite

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fresno, CA
National Provider Identifier
1851911358
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
RENALITE
Practice address
1312 E Olive Ave
Fresno, CA 93728-3610
Phone
(800) 666-5323
NPI assigned
Apr 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Cashmir Luke
Title
Member/Manager
Phone
(415) 933-2264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1312 E Olive Ave
Fresno, CA 93728-3610

Mailing address

PO Box 690311
Stockton, CA 95269-0311

Other names 1

  • RENALITE IN-HOME KIDNEY CARE Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Fresno

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1851911358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690311",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952690311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 E OLIVE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937283610",
            "telephone_number": "800-666-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENALITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "LUKE",
        "authorized_official_first_name": "CASHMIR",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "415-933-2264",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Fresno",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1312 E Olive Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937283610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "RENALITE IN-HOME KIDNEY CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.